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General NPI Number Information
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NPI Number | 1619494101
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH RANKE NP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 520 ROMAN MIST WAY
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City | VERONA
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State | WI
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Zip | 53593-8117
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Country | US
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Telephone | 608-772-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 JOHN Q HAMMONS DR
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City | MADISON
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State | WI
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Zip | 53717-1921
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Country | US
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Telephone | 608-662-4184
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7938-33
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License Number State | WI
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